Active NPI
Ernesto Henderson, DO
- Child & Adolescent Psychiatry Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 308770
- Practice address
- 506 6TH St
Brooklyn, NY 11215-3609 - Phone
- (929) 522-8129
- NPI assigned
- Mar 17, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | H0089118 | MD | |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 0102206033 | VA | |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 308770 | NY | |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | DO034809 | DC | |
| Psychiatry Physician | 2084P0800X | DO034809 | DC | |
| Psychiatry Physician | 2084P0800X | 308770 | NY | |
| Psychiatry Physician | 2084P0800X | 0102206033 | VA | |
| Psychiatry Physician | 2084P0800X | H0089118 | MD | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 308770 | NY | Primary |
Addresses
Primary practice location
506 6TH St
Brooklyn, NY 11215-3609
Mailing address
1096 President St Apt 34
Brooklyn, NY 11225-1442
Phone (301) 442-1195
Other practice location 1
352 7th Ave Fl 12A
New York, NY 10001-5893
Phone (301) 442-1195
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | ram9236@direct.nyp.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.47 of 100
- Quality
- 84.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0089118 | MD | MD | Neuromusculoskeletal Medicine & OMM Physician |
| 0102206033 | VA | MD | Neuromusculoskeletal Medicine & OMM Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New York and Presbyterian Hosp | Current | Accepting new patients | |
| The New York and Presbyterian Hospital | Current | Accepting new patients | |
| Wisconsin Ave Psychiatric Center Inc | Psychiatry | Current | Accepting new patients |
| Kings Physician Services, PC | Current | Accepting new patients | |
| The New York and Presbyterian Hospital | Current | Accepting new patients | |
| Kings Physician Services, PC | Current | Accepting new patients | |
| Finding Balance DO, LLC | Neuromusculoskeletal Medicine & Omm | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
4228 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 885-5600
506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279
506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677
352 7th Ave
Fl 12A
New York, NY 10001
Phone (212) 547-9853
21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100
21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1083045090
-
dba Ambulatory Care Network
- Nutritionist
- New York, NY
- NPI 1891857025
-
dba Psychiatric Institute of Washington
- Psychiatric Hospital
- Washington, DC
- NPI 1871549949
Psychiatry
-
- Psychiatry Physician
- New York, NY
- NPI 1639878960
Neuromusculoskeletal Medicine & Omm
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
- Psychiatry Physician
- Rochester, NY
- NPI 1326088808
-
dba Kings Emergency Physician Services
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1326698879
-
- Neurology Physician
- White Plains, NY
- NPI 1063683068
-
dba New-York-Presbyterian Pharmacy
- Community/Retail Pharmacy
- White Plains, NY
- NPI 1457057226
-
dba Kings County Hospital Center
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1043224355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1821539230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1096 PRESIDENT ST APT 34",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112251442",
"telephone_number": "301-442-1195",
"fax_number": "813-550-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 6TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153609",
"telephone_number": "929-522-8129"
}
],
"practiceLocations": [
{
"address_1": "352 7th Ave Fl 12A",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100015893",
"country_code": "US",
"telephone_number": "301-442-1195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDERSON",
"first_name": "ERNESTO",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-17",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MD",
"license": "H0089118",
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "VA",
"license": "0102206033",
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "NY",
"license": "308770",
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "DC",
"license": "DO034809",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "DO034809",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "308770",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0102206033",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "H0089118",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "308770",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "506 6th St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112153609",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "506 6th St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112153609",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ram9236@direct.nyp.org",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address",
"address_1": "506 6th St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112153609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.